title: [Giant cell peripheral granuloma surrounding a dental implant: case report].
abstract: BACKGROUND
  The rising number of dental implants placed in the treatment of partial or full edentulism confronts the clinician with more implant-related pathology. The presence of a transmucosal component resembles the natural tooth and makes it likewise prone to oral plaque adhesion and plaque-related diseases. However, non-plaque-related diseases can also occur around implants.
  
  
  METHODS
  This clinical case describes the historical background, the diagnosis, treatment and follow-up of a 33-year-old female patient presenting with a peripheral giant cell granuloma surrounding a maxillary implant. Diagnosis was established by histopathologic analysis. The treatment consisted of complete excision and bone curettage, strict plaque-control and intensive aftercare. Eight months later, no recurrence had been observed. Nevertheless, the soft tissues did not return exactly to their original situation.
  
  
  CONCLUSIONS
  Early diagnosis by means of a biopsy is crucial when an epulis is detected. This results in both a less invasive excision and a more favorable aesthetic outcome.
authors.affiliation: Université de Gand, Faculté de Médecine et des Sciences de la Santé, Ecole de Médecine Dentaire, Service de Parodontologie et d'Implantologie Orale, De Pintelaan 185, 8-9000 Gand.
authors.forename: Lore
authors.initials: L
authors.lastname: Hanselaer
authors.forename: Jan
authors.initials: J
authors.lastname: Cosyn
authors.forename: Hilde
authors.initials: H
authors.lastname: Browaeys
authors.forename: Hugo
authors.initials: H
authors.lastname: De Bruyn
mesh_terms: D000328:Adult; D019250:Dental Implants, Single-Tooth; D005260:Female; D005882:Gingival Diseases / Q000473:pathology* / Q000601:surgery; D006101:Granuloma, Giant Cell / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008437:Maxilla